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Association of posttraumatic stress disorder and depression with all-cause and cardiovascular disease mortality and hospitalization among hurricane katrina survivors with end-stage renal disease

Author

Listed:
  • Edmondson, D.
  • Gamboa, C.
  • Cohen, A.
  • Anderson, A.H.
  • Kutner, N.
  • Kronish, I.
  • Mills, M.A.
  • Muntner, P.

Abstract

Objectives: We determined the association of psychiatric symptoms in the year after Hurricane Katrina with subsequent hospitalization and mortality in end-stage renal disease (ESRD) patients. Methods: A prospective cohort of ESRD patients (n = 391) treated at 9 hemodialysis centers in the New Orleans, Louisiana, area in the weeks before Hurricane Katrina were assessed for posttraumatic stress disorder (PTSD) and depression symptoms via telephone interview 9 to 15 months later. Two combined outcomes through August 2009 (maximum 3.5-year follow-up) were analyzed: (1) all-cause and (2) cardiovascular-related hospitalization and mortality. Results: Twenty-four percent of participants screened positive for PTSD and 46% for depression; 158 participants died (79 cardiovascular deaths), and 280 participants were hospitalized (167 for cardiovascular-related causes). Positive depression screening was associated with 33% higher risk of all-cause (hazard ratio [HR] = 1.33; 95% confidence interval [CI] = 1.06, 1.66) and cardiovascular-related hospitalization and mortality (HR = 1.33; 95% CI =1.01, 1.76). PTSD was not significantly associated with either outcome. Conclusions: Depression in the year after Hurricane Katrina was associated with increased risk of hospitalization and mortality in ESRD patients, underscoring the long-term consequences of natural disasters for vulnerable populations.

Suggested Citation

  • Edmondson, D. & Gamboa, C. & Cohen, A. & Anderson, A.H. & Kutner, N. & Kronish, I. & Mills, M.A. & Muntner, P., 2013. "Association of posttraumatic stress disorder and depression with all-cause and cardiovascular disease mortality and hospitalization among hurricane katrina survivors with end-stage renal disease," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 130-137.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301146_3
    DOI: 10.2105/AJPH.2012.301146
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    Cited by:

    1. Yusuke Inoue & Seungwon Jeong, 2020. "Did the Number of Older People Requiring Long-Term Care and Expenditure Increase after the 2011 Great East Japan Earthquake? Analysis of Changes over Six Years," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    2. Toshiki Sanoh & Eri Eguchi & Tetsuya Ohira & Fumikazu Hayashi & Masaharu Maeda & Seiji Yasumura & Yuriko Suzuki & Hirooki Yabe & Atsushi Takahashi & Kanae Takase & Mayumi Harigane & Takashi Hisamatsu , 2020. "Association between Psychological Factors and Evacuation Status and the Incidence of Cardiovascular Diseases after the Great East Japan Earthquake: A Prospective Study of the Fukushima Health Manageme," IJERPH, MDPI, vol. 17(21), pages 1-13, October.

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